Share your information with Jennifer Pradat

Jennifer Pradat

Take More Vacations Travel

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="All Inclusive Vacation Quote"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Middle name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="clientLoyaltyPrograms" label="Loyalty Programs" name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Mailing Address"/>&#13;
		<field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/>&#13;
		<field type="text" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Country" name="address-country" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Vacation Information"/>&#13;
		<field type="date" required="true" label="Earliest Departure Date" name="check-in-date" className="form-control"/>&#13;
		<field type="date" required="true" label="Latest Return Date" name="check-out-date" className="form-control"/>&#13;
		<field type="text" required="true" label="Number of Adults Traveling with Name &amp;amp; DOB (Example Jennifer Pradat, 49yrs &amp;amp; 01/19/1976)" description="13+" name="number-of-adults-traveling" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Number of Children Traveling with name, age at time of travel and DOB (Example Jennifer Pradat, 49yrs &amp;amp; 01/19/1976)" description="6 Months+ - 12" name="number-of-children-traveling" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Any adults traveling with email so they can be CC on all information" name="any-adults-traveling-with-email-so-they-can-be-cc-on-all-information" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Resort Brand Preference" name="resort-preference">&#13;
			<option label="Sandals &amp; Beaches" value="sandals-beaches">Sandals &amp; Beaches</option>&#13;
			<option label="Excellence &amp; Finest" value="excellence-finest">Excellence &amp; Finest</option>&#13;
			<option label="Secrets Resorts" value="secrets-resorts">Secrets Resorts</option>&#13;
			<option label="Dreams Resorts" value="dreams-resorts">Dreams Resorts</option>&#13;
			<option label="Hard Rock Resorts" value="hard-rock-resorts">Hard Rock Resorts</option>&#13;
			<option label="Margaritaville Island Reserve" value="margaritaville-island-reserve">Margaritaville Island Reserve</option>&#13;
			<option label="Nickelodeon Resorts" value="nickelodeon-resorts">Nickelodeon Resorts</option>&#13;
			<option label="El Dorado Resorts" value="el-dorado-resorts">El Dorado Resorts</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Desired Vacation Length" name="would-you-like-to-include-park-hopper">&#13;
			<option label="2 - 5 Nights" value="2-5-nights">2 - 5 Nights</option>&#13;
			<option label="6 - 8 Nights" value="6-8-nights">6 - 8 Nights</option>&#13;
			<option label="9+ Nights" value="9-nights">9+ Nights</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Type of Room Accommodation" name="would-you-like-to-include-lightning-lane-multi-pass">&#13;
			<option label="Two Double" value="two-double">Two Double</option>&#13;
			<option label="Queen" value="queen">Queen</option>&#13;
			<option label="King" value="king">King</option>&#13;
			<option label="Swim Up" value="swim-up">Swim Up</option>&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Do all guests traveling have a valid passport?" name="checkbox-group-1732316374798">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="My party is working on getting passports." value="my-party-is-working-on-getting-passports">My party is working on getting passports.</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Desired Budget for Travel" name="desired-budget-for-travel" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="If you&#39;re including flights in your budget, what airport will you be departing from? (Excellence and Finest does not include flights in packages)" name="text-1732316464871" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Do you have any special requests or special celebrations?" name="do-you-have-any-special-requests-or-special-celebrations" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Please let me know if you are Military, Police, Firefighter or First Responder" name="please-let-me-know-if-you-are-military-police-firefighter-or-first-responder">&#13;
			<option label="Military " value="military-">Military </option>&#13;
			<option label="Police" value="police">Police</option>&#13;
			<option label="Firefighter" value="firefighter">Firefighter</option>&#13;
			<option label="First Responder" value="first-responder">First Responder</option>&#13;
			<option label="None of the above" value="none-of-the-above">None of the above</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Travel Preferences"/>&#13;
		<field type="radio-group" label="Bed preference" name="bed-preference">&#13;
			<option label="King" value="king">King</option>&#13;
			<option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Hotel preference" name="hotel-preference">&#13;
			<option label="Economy" value="value">Economy</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Vibe preferences" name="vibe-preference">&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option>&#13;
			<option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option>&#13;
			<option label="Party" value="party">Party</option>&#13;
			<option label="Local culture" value="local-culture">Local culture</option>&#13;
			<option label="Family friendly" value="family-friendly">Family friendly</option>&#13;
			<option label="Food and wine" value="food-wine">Food and wine</option>&#13;
			<option label="Multi-generational" value="multi-generational">Multi-generational</option>&#13;
			<option label="Adventure" value="adventure">Adventure</option>&#13;
			<option label="LGBT" value="lgbt">LGBT</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Activity preferences" name="activity-preferences">&#13;
			<option label="Beach and water" value="beach-water">Beach and water</option>&#13;
			<option label="Gambling" value="gambling">Gambling</option>&#13;
			<option label="Scuba" value="scuba">Scuba</option>&#13;
			<option label="Adventure activities" value="adventure">Adventure activities</option>&#13;
			<option label="Golf" value="golf">Golf</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Arts and theatre" value="art-theatre">Arts and theatre</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>